PATIENT MOVEMENT WORKGROUP

October 22, 2015

1. Update on revised standardized bed category document for sending facilities & receiving facilities + piloting tools

2. Finalizing recommendations document for inclusion of data elements in hospital inter-facility transfer forms & patient face sheets + feedback on member letter

3. Streamlining emergency credentialing – feedback on guidance document outline

Today’s Agenda2

□ Since last meeting□ Met with FDNY-EMS and REMSCO on transport-related questions

raised at last meeting

□ Next steps□ Make additional revisions to sending facility form□ Re-work receiving facility form□ Pilot with Mt. Sinai, Lenox Hill; others interested?

Standardizing Bed Definitions3

Sending Facility

Receivin

g Facility

Sharing Critical Medical Information4

Sending Facil

ity

Receivin

g Facil

ity

LEVEL 1: Best source of minimum clinical information (likely in paper format) to

facilitate patient transfer and stabilization (i.e. downtime report, transfer form)

LEVEL 2: Ensure access to full (electronic) medical record to support ongoing care of

patient once transferred

□ Since last meeting□ Made minor adjustments to recommendations document based on

feedback received□ Drafted complementary cover letter to be sent to CEOs□ Have continued preliminary discussions with ONC about pilot project to

support development of an EHR template containing our recommended standard data elements

□ Next steps□ Disseminate cover letter, recommendations document and process

workflow document to NYC region members

Facilitating Sharing of (Limited) Critical Medical Information During Transfer Process

5

□Since last meeting□ Revised guidance document outline based on group discussion□ Setting up follow up conversation with medical staff specialist

leadership at NYU, North Shore and Mt. Sinai

□Next Steps□ Further refine outline based on feedback from subject matter

experts□ Share outline with SDOH and HANYS□ Begin drafting document

Streamlining Emergency Credentialing for Providers Moving from One Hospital to Another During a Prolonged Emergency Incident

6

Sending Facility

Receivin

g Facility

Sharing Critical Medical Information7

Sending Facil

ity

Receivin

g Facil

ity

LEVEL 1: Best source of minimum clinical information (likely in paper format) to

facilitate patient transfer and stabilization (i.e. downtime report, transfer form)

LEVEL 2: Ensure access to full (electronic) medical record to support ongoing care of

patient once transferred

□ Currently no clear work products related to facilitating access to full medical record during emergency incidents

□ Potential pilot project with ONC would help with this□ Tremendous amount of work happening in this area related to DSRIP

□ How to close out this topic area for the Patient Movement Workgroup?□ Identify highest priority gaps that hamper emergency incident medical record access & best

venues to address/work on these gaps (i.e. separate workgroup, regional priority setting body, existing Health IT work groups)

Ensuring Access to the Full Medical Record8

□ Cyberattack (with an emphasis on cyber impacts that affect patient care) is the theme for the 2015-2016 Emergency Preparedness Symposia series

□ 10/19 meeting featured a cybersecurity panel and break out sessions□ Goal is to help NYC hospitals develop cyberattack emergency operations plans over the course

of the next year□ Key strategy is to bring emergency managers and Health IT professionals together for joint

planning

□ GNYHA offering programming related to cybersecurity□ Will work to ensure that emergency manager community is included in outreach for this

programming

Efforts Related to Health IT9

□Thursday, November 19th – 9:30-11am

□Wednesday, December 16th – 9:30-11am

Upcoming Meetings10